Provider Demographics
NPI:1942291091
Name:KATZ, LOWELL D (MD)
Entity Type:Individual
Prefix:
First Name:LOWELL
Middle Name:D
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:STE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:502-584-6666
Mailing Address - Fax:502-589-6342
Practice Address - Street 1:250 E LIBERTY ST
Practice Address - Street 2:SUITE 610
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1530
Practice Address - Country:US
Practice Address - Phone:502-584-6666
Practice Address - Fax:502-589-6342
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY16857208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64168578Medicaid
KY000000586456OtherANTHEM
KY64168578Medicaid
KY00546154Medicare Oscar/Certification
KYP00655142Medicare PIN